Obamacare

Bending the Medicaid cost curve

Bending the Medicaid cost curve

Massachusetts is betting big on accountable care organizations

IN A WILDLY uncertain national health care environment, something new, audacious, and risky is happening in MassHealth, the Medicaid program that provides health coverage to 1.9 million people who are poor, elderly, and persons with disabilities in Massachusetts. Gov. Charlie Baker’s administration is betting that an emerging health care delivery and payment model, called “accountable(...)

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GOP dog catches the health-care car

The Republicans have finally rolled out their replacement for the Affordable Care Act, but the long-awaited health care fix may need some immediate resuscitation efforts. Opposition from conservative Republicans in the House coupled with balking by moderate GOP senators could spell doom for the Obamacare replacement offered by House Speaker Paul Ryan. The bill is(...)

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Republicans showing their hand on ACA ‘replacement’

Republicans showing their hand on ACA ‘replacement’

Draft health care legislation would slash coverage expansion and subsidies

LATE LAST WEEK, Politico released a leaked 105-page draft bill defining the House Republican plan to repeal/replace/repair/re-whatever the Affordable Care Act/Obamacare. The draft legislation was dated February 10, so likely it’s already out of date, though it is the best indication yet of their rapidly evolving intentions and fits with many of their prior recent(...)

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Voices from Ohio on Medicaid expansion

Voices from Ohio on Medicaid expansion

Experience mirrors that of all states that expanded coverage under ACA

OHIO IS ONE of 31 states that expanded Medicaid as permitted by the Affordable Care Act/Obamacare for nearly all low-income citizens. The state’s Republican governor, former presidential candidate John Kasich, has been among the most vocal proponents of the expansion on the Republican side and has taken a lot of grief for it from ACA(...)

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Time to step up fight against ACA repeal

Time to step up fight against ACA repeal

GOP will only succeed if we let them

A NEW REPUBLICAN-CONTROLLED Congress is in place. And for the sixth time, the Affordable Care Act (ACA) is facing extinction. Indeed, a gripping narrative history of the ACA/Obamacare could be written focused only on its numerous near-death experiences. Maybe the sixth time will be the curse, and maybe not. Let’s recall. One, in January 2010,(...)

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Sounds of health-care silence in GOP debate

Sounds of health-care silence in GOP debate

Lack of Obamacare talk speaks volumes

I HAD ONE mission last night watching the Republican debate among the party’s top 10 presidential contenders: What, if anything, could we learn about the state of play regarding the Affordable Care Act and US health policy? What I observed: The impassioned debate about the Affordable Care Act/ACA/Obamacare is over, even among Republicans. Here is(...)

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The Supreme Court surprise that wasn’t

The Supreme Court surprise that wasn’t

Ruling on health care subsidies was expected, but is still a relief

THOSE CLOSELY WATCHING the US Supreme Court process on the King v. Burwell suit that almost upended insurance subsidies for about 6.4 million Americans knew that one of three outcomes was most likely – 5-4 for the plaintiffs, or 5-4 or 6-3 for the government.  That indicated to me a two-thirds probability of a pro-Affordable(...)

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CBO: Obamacare repeal would be costly

CBO: Obamacare repeal would be costly

Congressional report projects big increases in defiit and uninsured from repeal of the Affordable Care Act

MY FAVORED DEFINITION of “health policy wonk” is someone who reads health reports from the Congressional Budget Office — and enjoys it. Guilty as charged. Last Friday’s new report, “Budgetary and Economic Effects of Repealing the Affordable Care Act,” was enlightening and fascinating. It will be a benchmark document during the coming two years of debates(...)

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A grand bargain on medical device tax

A grand bargain on medical device tax

In exchange for repeal of tax, let's have price transparency on high-cost devices

ONE PROPOSAL TO CHANGE the Affordable Care Act would repeal the law’s 2.3 percent tax on sales of medical devices. On June 2, the House Ways and Means Committee voted, once again, to rescind the tax and a vote in the full House is expected soon. Even progressive Democrats such as Massachusetts Sen. Elizabeth Warren and(...)

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Grading Obamacare

Grading Obamacare

Sizing up the Affordable Care Act's 10 main components

IN MY EXPERIENCE, precious few Americans recognize the variety and depth of policies included in the Affordable Care Act. Over the past several months, we have seen numerous report cards and other evaluations of the ACA on the occasion of its 5th anniversary.  To communicate the law’s diversity, I offer an alternative five-year report card(...)

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